ABSTRACT

You are asked to see a patient who has been brought in by ambulance to the emergency department. You understand he is from Tasmania and that his family were concerned that the patient woke up this morning with one side of his face appearing to be drooping and he was salivating on that side. He also was finding it frustrating as he was unable to get his words out. This was making him more annoyed. He is not a smoker but his family report he is always fairly stressed out and he is a diabetic. On examination he has marked facial droop, expressive dysphasia and some subtle right-sided weakness, and you note that he is in atrial fibrillation.